Eating Disorders

Eating disorders are characterised by an abnormal attitude towards food that causes someone to change their eating habits and behaviour.

A person with an eating disorder may focus excessively on their weight and shape, leading them to make unhealthy choices about food with damaging results to their health.

Types of eating disorders

Eating disorders include a range of conditions that can affect someone physically, psychologically
and socially. The most common eating disorders are:

• anorexia nervosa, when someone tries to keep their weight as low as possible, for example
by starving themselves or exercising excessively
• bulimia, when someone tries to control their weight by binge eating and then deliberately being
sick or using laxatives (medication to help empty their bowels)
• binge eating, when someone feels compelled to overeat

Causes of eating disorders

Eating disorders are often blamed on the social pressure to be thin but the causes are usually
more complex and can be provoked by a negative experience.

Risk factors that can make someone more likely to have an eating disorder include:

• having a family history of eating disorders, depression or substance misuse
• being criticised for their eating habits, body shape or weight
• being overly concerned with being slim, particularly if combined with pressure to be slim from society or for a job (for example ballet dancers, models or athletes)
• certain characteristics, for example, having an obsessive personality, an anxiety disorder, low self-esteem or being a perfectionist
• particular experiences, such as sexual or emotional abuse or the death of someone special
• difficult relationships with family members or friends
• stressful situations, for example problems at work, school or university

Spotting an eating disorder

It can often be very difficult to realise that a loved one or friend has developed an eating disorder.

Warning signs to look out for include:

• missing meals
• complaining of being fat, even though they have a normal weight or are underweight
• repeatedly weighing themselves and looking at themselves in the mirror
• making repeated claims that they have already eaten, or they will shortly be going out to eat somewhere else
• cooking big or complicated meals for other people, but eating little or none of the food themselves
• only eating certain low-calorie foods in your presence, such as lettuce or celery
• feeling uncomfortable or refusing to eat in public places, such as a restaurant
• the use of 'pro-anorexia' websites

If you are concerned about a friend or family member, it can be difficult to know what to do. It is common for someone with an eating disorder to be secretive and defensive about their eating and their weight, and they are likely to deny being unwell.

You can talk for free to a specialist youth eating disorders advisor on 0808 801 0711.

BEAT:Beat provides helplines, online support and a network of UK-wide self-help groups to help adults and
young people in the UK beat their eating disorders. Visit their website to find out more and locate the nearest
help group: www.beateatingdisorders.org.uk

If it is not treated, an eating disorder can have a negative impact on someone’s job or schoolwork, and can disrupt relationships with family members and friends. The physical effects of an eating disorder can sometimes be fatal.

Treatment for eating disorders is available, although recovering from an eating disorder can take a long time. It is important for the person affected to want to get better, and the support of family and friends is invaluable.

Treatment usually involves monitoring a person’s physical health while helping them to deal with the underlying psychological causes. This may involve:

• cognitive behavioural therapy (CBT): therapy that focuses on changing how someone thinks about a situation, which in turn will affect how they act
• interpersonal psychotherapy: a talking therapy that focuses on relationship-based issues
• dietary counselling: a talking therapy to help people maintain a healthy diet
• psychodynamic therapy: counselling that focuses on how a person’s personality and life experiences influence their current thoughts, feelings, relationships and behaviour
• medication: for example, some types of antidepressants such as selective serotonin reuptake inhibitors (SSRIs) may be used to treat anorexia nervosa